Provider Demographics
NPI:1932853918
Name:ACCURATE MOBILE LAB SERVICES LLC
Entity type:Organization
Organization Name:ACCURATE MOBILE LAB SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMMED
Authorized Official - Middle Name:HASSAN
Authorized Official - Last Name:ABU REALH
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:708-529-5503
Mailing Address - Street 1:8723 W 95TH ST
Mailing Address - Street 2:
Mailing Address - City:HICKORY HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60457-1732
Mailing Address - Country:US
Mailing Address - Phone:708-529-5503
Mailing Address - Fax:
Practice Address - Street 1:8723 W 95TH ST
Practice Address - Street 2:
Practice Address - City:HICKORY HILLS
Practice Address - State:IL
Practice Address - Zip Code:60457-1732
Practice Address - Country:US
Practice Address - Phone:708-529-5503
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-08
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes291U00000XLaboratoriesClinical Medical LaboratoryGroup - Multi-Specialty